Nursing Philosophy Has a Direct Impact.

The thought questions were developed related to the instructional materials in the course modules. They are meant to focus your attention on the essential ideas presented in the readings and to engage in self-dialogue regarding your perspectives on the question as nursing theorists and scholars. Below is the thought question for this module:

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Should there be a single paradigm, co-existence of complementary paradigms or the creation of an integrated paradigm to advance nursing knowledge to guide research and practice?

2. Critique knowledge that arises from four definitions of nursing: Nursing as a Health Science, Practice Discipline, Caring Discipline, and Health-Oriented Discipline

3. Module Learning Objectives:

Explain what theory does in relationship to nursing knowledge development as a discipline and science.
Discuss theoretical thinking in terms of questions asked and answers.
Apply Carper’s Way of knowing in clinical practice.
Discuss nursing theories focused on human existence and caring.
Explain how theories relate to health and planned change which guides nursing practice.
Discuss the deliberative nursing process and AACN Synergy model guide practice.

4. Thought Questions:

How have historical trends in the philosophy of science influenced the development of nursing knowledge?
How does the role of the DNP-prepared nurse advance the development of nursing science?

5. Thought Questions:

How can the care of the Mendez family be viewed from the lens of complex adaptive systems?
What are the implications for theories and methods in ethics in the care of the Mendez family?
Does change in your organization occur according to the theory of change? What are the implications for changes in the organization related to nursing?
According to Lewin’s Theory, what are the driving and opposing forces to initiating a palliative care or wound care service at an in-patient facility?

6. 2 different replies needed for the discussion below

Cuban Communication Patterns

For a healthcare provider, it is essential to understand and apply appropriate communication patterns with the client. Several elements define typical communication patterns for Cubans. First, Cubans show awareness of good interpersonal relations through courtesy and respect (Brown, 2021). Based on this, I will ensure I focus on relationships rather than rules and positions while maintaining a positive attitude. Specifically, notable patterns I will be aware of during our engagement include maintaining eye contact when talking to her and shaking the patient’s hand when introducing myself. Furthermore, it is essential to accept hugs from Mrs. Hernandez, particularly after finishing my clinical intervention. Hugging is a specific way of showing appreciation among Cubans, hence the need to oblige (Brown, 2021). Conclusively, understand the patterns of communication will be vital in managing cultural barriers during the interaction and ensure the appropriate delivery of quality care to Mrs. Hernandez.

Assisting Mrs. Hernandez Develop a 1500-calories Diet

Primarily, I will assist Mrs. Hernandez in developing a 1500 calories diet and regular exercise plan by equipping her with the requisite skills and knowledge that she can implement on her own. For instance, I will inform the patient that the 1500-calories diet must entail consistently consuming selected foods, such as yams, yucca, grains, vegetables, plantains, and boniato. The selection of these foods follows a cultural understanding of Cubans (Wirtz, 2014). Additionally, it is necessary to recommend to Mrs. Hernandez a moderate aerobic exercise of about two hours weekly. Furthermore, based on her age, the patient can perform brisk walking and jogging. The exercise will run for 30 minutes daily. More importantly, I will motivate the patient to regularly exercise to generate enough desire to conduct it on her own volition. In essence, regular exercising and diet will improve the patient’s balance, strength, and flexibility.

Botanica Visit for Drugs

I will not encourage Mrs. Hernandez to go to the botanica for drugs. Although I recognize that the patient’s culture significantly influences her desire, instead, I will discourage her decision to go for buying herbs. Therefore, my approach would involve educating Mrs. Hernandez about modern medicines, particularly their benefits compared to traditional medicines (Purnell & Fenkl, 2018). First, I will emphasize the patient’s desire to practice her culture and clearly explain my admiration for it. At the same time, I will explain the critical nature of medications for her health, particularly the need for medications that will guarantee an immediate impact. Secondly, I will reiterate that traditional medications are unregulated and take long period before feeling and achieving the desired results. Conclusively, while educating Mrs. Hernandez about the benefits of modern medicines compared to her preferred herbal drugs, I will employ the Cuban communication patterns, which include maintaining eye contact, listening to her opinion, and maintaining eye contact. It is crucial to convince Mrs. Hernandez to opt for modern medicines.

Cuban Practices

Arguably, the patient’s preference for herbal medicine underscores the impact of culture on the Cuban population. Therefore, common folk practices Cuban families utilize to maintain healthy families include applying medicinal plants, which include powders, oils, incenses, and ointments (Purnell & Fenkl, 2018). In some instances, they use ornaments and animals to treat people. For instance, Cubans commonly use Chaya leaves to control diabetes and keep blood pressure stable. Furthermore, traditional healers are known to have the conviction to tell specific ailment a patient has by simply touching them. This alternative diagnosing provides vital information that traditional healers used to prepare an herbal medicine that would remedy a health problem. In Cuba, special shops exist where people can purchase traditional medicines and, in some instances, government pharmacies and private entrepreneurs stock herbal medicines for people to buy (Wirtz, 2014). Nonetheless, I will educate and convince Mrs. Hernandez to choose modern medicines because they have a better and quicker response, hence being more effective.

Nursing Philosophy Has a Direct Impact.